All in, lowest first

What menopause programs really cost

The lowest published monthly price for each program, by treatment. Where a program charges labs or a membership on top, we say so in the plan line.

By Julian Caraulani · prices checked

Top-scored · 9.2/10
Winona, from $39/mo
Visit

Every program, cheapest first

  1. 1. Musely
    The Progesterone Pill · auto-refill, 2-month supply
    $20/moVisit
  2. 2. Winona
    Progesterone capsules · auto-refill, 30 or 90-day supply
    $39/moVisit
  3. 3. Found
    Vaginal estrogen cream alone, without insurance · $119 per 3-month supply
    $40/moVisit
  4. 4. Gala Health
    Menopause program · monthly subscription
    $69/moVisit
  5. 5. Ivim Health
    Membership + estradiol tablet · monthly
    $104/moVisit
  6. 6. Inner Balance
    Oestra, first 6 months · 90-day supply every 90 days
    $199/moVisit
  7. 7. Hone Health
    Women's Premium + estradiol gel · monthly, month to month
    $213/moVisit
Not ranked here, and why (3)
  • LifeMD Women's Health: $79 a month is only part of the cost (Monthly consultations and messaging; medication billed separately).
  • PlushCare: $19.99 a month is only part of the cost (Plus your insurance copay per visit and pharmacy cost).
  • Sesame: $59 a month is only part of the cost (Video visits and messaging; medication paid at the pharmacy).

Before you pay

Why the cheapest price isn’t always the cheapest

  1. 1

    Is the medication in the price?

    Many programs charge a monthly membership and bill hormones on top (Hone, LifeMD, Ivim, Sesame). Others price each product with the doctor included (Winona, Musely, Gala). Compare the total, not the membership.

  2. 2

    FDA-approved or compounded?

    FDA-approved estradiol and progesterone are tested for dose and purity. Compounded bioidentical creams are not FDA-approved, and the FDA-commissioned National Academies review found a lack of rigorous evidence for them. Every card here says which you get.

  3. 3

    Will insurance pay for any of it?

    Generic estradiol and progesterone are often covered at your own pharmacy. Telehealth memberships usually are not. A few programs bill insurance for the visit itself (Found, PlushCare, some LifeMD plans).

  4. 4

    Labs: included, extra or skipped?

    Most menopause programs don't require blood tests to start. Some include monitoring (Hone runs quarterly labs), others order them only when needed and don't say what they cost.

  5. 5

    Read the cancellation terms

    Refill orders are often final sale, some programs need notice days before billing, and a few charge the membership in months you don't order medication.

  6. 6

    Check your state first

    Not every program prescribes everywhere: Winona serves 37 states, Hone 33. Programs that don't publish a list tell you at sign-up.

FDA-approved vs compounded hormones

FDA-approved estradiol and progesterone are tested for dose and purity. Compounded bioidentical hormones are mixed by a pharmacy and are not FDA-approved as finished products. In November 2025 the FDA began removing the broad boxed warnings from approved menopause hormone therapy, keeping the endometrial cancer warning for estrogen-alone products.

Estrogen (patch, gel or pill)

FDA-approved estradiol, the core of menopause hormone therapy.

  1. 1. Musely
    The Estrogen Pill (estradiol) · auto-refill, 2-month supply
    $35/moVisit
  2. 2. Winona
    Estrogen tablets (estradiol) · auto-refill, 30 or 90-day supply
    $54/moVisit
  3. 3. Gala Health
    Menopause program · monthly subscription
    $69/moVisit
  4. 4. Found
    Estrogen or progesterone alone, without insurance · monthly
    $89/moVisit
  5. 5. Hone Health
    Women's Premium + estradiol gel · monthly, month to month
    $213/moVisit
Not ranked here, and why (4)
  • LifeMD Women's Health: $79 a month is only part of the cost (Monthly consultations and messaging; medication billed separately).
  • Ivim Health: no price published before the consultation.
  • PlushCare: $19.99 a month is only part of the cost (Plus your insurance copay per visit and pharmacy cost).
  • Sesame: $59 a month is only part of the cost (Video visits and messaging; medication paid at the pharmacy).

Progesterone

Taken with estrogen if you have a uterus; also used for sleep.

  1. 1. Musely
    The Progesterone Pill · auto-refill, 2-month supply
    $20/moVisit
  2. 2. Winona
    Progesterone capsules · auto-refill, 30 or 90-day supply
    $39/moVisit
Not ranked here, and why (7)
  • Gala Health: no price published before the consultation.
  • Found: no price published before the consultation.
  • Hone Health: no price published before the consultation.
  • LifeMD Women's Health: no price published before the consultation.
  • Ivim Health: no price published before the consultation.
  • PlushCare: no price published before the consultation.
  • Sesame: no price published before the consultation.

Compounded bioidentical (BHRT)

Custom-mixed hormone creams or troches. Not FDA-approved as finished products.

  1. 1. Musely
    The Estrogen Cream · auto-refill, 2-month supply
    $46/moVisit
  2. 2. Winona
    Estrogen body cream with progesterone · auto-refill
    $89/moVisit
  3. 3. Ivim Health
    Membership + estradiol tablet · monthly
    $104/moVisit
  4. 4. Inner Balance
    Oestra, first 6 months · 90-day supply every 90 days
    $199/moVisit
Not ranked here, and why (3)

Vaginal estrogen

Low-dose local estrogen for dryness and urinary symptoms.

  1. 1. Found
    Vaginal estrogen cream alone, without insurance · $119 per 3-month supply
    $40/moVisit
  2. 2. Winona
    Vaginal estrogen cream · refilled on request
    $89/moVisit
Not ranked here, and why (5)

Non-hormonal options

Prescription options for hot flashes when hormones aren't right for you.

No provider publishes a price for this yet.

Not ranked here, and why (2)
  • Gala Health: no price published before the consultation.
  • PlushCare: no price published before the consultation.

Questions people ask

How much does menopause cost per month?

From $20 a month all in (Musely, auto-refill, 2-month supply). Most programs cost more month to month than on a prepaid plan, and some add labs or a membership.

What is the cheapest estrogen therapy online?

Musely at $35 a month (The Estrogen Pill (estradiol), auto-refill, 2-month supply), as published on its site.

What is the cheapest progesterone online?

Musely at $20 a month (The Progesterone Pill, auto-refill, 2-month supply), as published on its site.

What is the cheapest compounded BHRT online?

Musely at $46 a month (The Estrogen Cream, auto-refill, 2-month supply), as published on its site.

What is the cheapest vaginal estrogen online?

Found at $40 a month (Vaginal estrogen cream alone, without insurance, $119 per 3-month supply), as published on its site.

Why is the cheapest price not always the cheapest?

Because some prices need a long prepayment, some exclude a required membership or lab test, and some bill every 4 weeks (13 charges a year). Our table adds required charges before ranking.